Sullivan, Laura Marie

Sullivan, Laura Marie is an individual health care provider with primary practice located at 2355 Highway 36 W , Roseville MN 55113-3902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Sullivan, Laura Marie can be contacted via phone (763) 412-1993.

Contact Information

Primary practice address
2355 Highway 36 W Roseville MN 55113-3902
Phone: (763) 412-1993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 363L00000X Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1686 Minnesota

Profile Details

NPI number 1972819324
LBN Legal business name Sullivan, Laura Marie
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Nov 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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